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  1. psnet.ahrq.gov/issue/preventing-medication-errors-community-pharmacy-root-cause-analysis-transcription-errors
    March 24, 2011 - Study Preventing medication errors in community pharmacy: root-cause analysis of transcription errors. Citation Text: Knudsen P, Herborg H, Mortensen AR, et al. Preventing medication errors in community pharmacy: root-cause analysis of transcription errors. Qual Saf Health Care. 2007;1…
  2. psnet.ahrq.gov/issue/patient-safety-event-reporting-large-radiology-department
    March 04, 2015 - Commentary Patient safety event reporting in a large radiology department. Citation Text: Schultz SR, Watson RE, Prescott SL, et al. Patient Safety Event Reporting in a Large Radiology Department. American Journal of Roentgenology. 2011;197(3). doi:10.2214/ajr.11.6718. Copy Citation …
  3. psnet.ahrq.gov/issue/how-radiation-oncologists-would-disclose-errors-results-survey-radiation-oncologists-and
    December 14, 2016 - Study How radiation oncologists would disclose errors: results of a survey of radiation oncologists and trainees. Citation Text: Evans SB, Yu JB, Chagpar A. How radiation oncologists would disclose errors: results of a survey of radiation oncologists and trainees. Int J Radiat Oncol Bi…
  4. psnet.ahrq.gov/issue/lives-lost-lives-saved-updated-comparative-analysis-avoidable-deaths-hospitals-graded
    July 09, 2019 - Book/Report Lives Lost, Lives Saved: An Updated Comparative Analysis of Avoidable Deaths at Hospitals Graded by The Leapfrog Group. Citation Text: Lives Lost, Lives Saved: An Updated Comparative Analysis of Avoidable Deaths at Hospitals Graded by The Leapfrog Group. Austin M, Derk J. Bal…
  5. psnet.ahrq.gov/issue/agreement-between-patient-reported-symptoms-and-their-documentation-medical-record
    November 09, 2022 - Study Agreement between patient-reported symptoms and their documentation in the medical record. Citation Text: Pakhomov S, Jacobsen SJ, Chute CG, et al. Agreement between patient-reported symptoms and their documentation in the medical record. Am J Manag Care. 2008;14(8):530-539. C…
  6. psnet.ahrq.gov/issue/problem-5-whys
    July 19, 2023 - Commentary The problem with the '5 whys.' Citation Text: Card AJ. The problem with '5 whys'. BMJ Qual Saf. 2017;26(8):671-677. doi:10.1136/bmjqs-2016-005849. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  7. psnet.ahrq.gov/issue/medical-trainees-formal-and-informal-incident-reporting-across-five-hospital-academic-medical
    May 10, 2016 - Study Medical trainees' formal and informal incident reporting across a five-hospital academic medical center. Citation Text: Logio LS, Ramanujam R. Medical trainees' formal and informal incident reporting across a five-hospital academic medical center. Jt Comm J Qual Patient Saf. 2010;3…
  8. psnet.ahrq.gov/issue/patient-safety-north-america-beyond-operate-through-your-initials-and-sign-your-site
    March 18, 2009 - Meeting/Conference Proceedings Patient safety in North America: beyond "operate through your initials" and "sign your site." Citation Text: Wong DA, Lewis B, Herndon JH, et al. Patient Safety in North America: Beyond “Operate Through Your Initials” and “Sign Your Site”*. doi:10.2106/jb…
  9. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/recruitment-flyer-va.pdf
    June 02, 2025 - RecruitmentFlyer_FAQs_VA Frequently Asked Questions 1. Why should my practice participate in the Heart of Virginia Healthcare (HVH) initiative? Your practice will receive personalized coaching on optimizing your practice model and culture; helping you improve cardiovascular care for your patients. Improving func…
  10. psnet.ahrq.gov/issue/addressing-healthcare-associated-infections-and-antimicrobial-resistance-organizational
    January 31, 2024 - Commentary Addressing healthcare-associated infections and antimicrobial resistance from an organizational perspective: progress and challenges. Citation Text: Murray E, Holmes A. Addressing healthcare-associated infections and antimicrobial resistance from an organizational perspectiv…
  11. psnet.ahrq.gov/issue/computerized-physician-order-entry-helpful-or-harmful
    January 06, 2018 - Commentary Classic Computerized physician order entry: helpful or harmful? Citation Text: Berger RG, Kichak JP. Computerized physician order entry: helpful or harmful? J Am Med Inform Assoc. 2004;11(2):100-3. Copy Citation Format: Google Scholar …
  12. psnet.ahrq.gov/issue/safe-use-cellular-telephones-hospitals-fundamental-principles-and-case-studies
    August 04, 2021 - Commentary Safe use of cellular telephones in hospitals: fundamental principles and case studies. Citation Text: Cohen T, Ellis WS, Morrissey JJ, et al. Safe use of cellular telephones in hospitals: fundamental principles and case studies. J Healthc Inf Manag. 2005;19(4):38-48. Copy …
  13. psnet.ahrq.gov/issue/human-factors-engineering-healthcare-systems-problem-human-error-and-accident-management
    June 13, 2011 - Commentary Human factors engineering in healthcare systems: the problem of human error and accident management. Citation Text: Cacciabue PC, Vella G. Human factors engineering in healthcare systems: the problem of human error and accident management. Int J Med Inform. 2010;79(4):e1-17.…
  14. psnet.ahrq.gov/issue/disruptive-behaviors-among-physicians
    August 14, 2014 - Commentary Disruptive behaviors among physicians. Citation Text: Sanchez LT. Disruptive behaviors among physicians. JAMA. 2014;312(21):2209-2210. doi:10.1001/jama.2014.10218. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …
  15. psnet.ahrq.gov/issue/doctors-views-attitudes-towards-peer-medical-error
    April 04, 2012 - Study Doctors' views of attitudes towards peer medical error. Citation Text: Asghari F, Fotouhi A, Jafarian A. Doctors' views of attitudes towards peer medical error. Qual Saf Health Care. 2009;18(3):209-12. doi:10.1136/qshc.2007.025015. Copy Citation Format: DOI Google S…
  16. psnet.ahrq.gov/issue/patterns-nurse-physician-communication-and-agreement-plan-care
    December 21, 2014 - Study Patterns of nurse–physician communication and agreement on the plan of care. Citation Text: O'Leary KJ, Thompson JA, Landler MP, et al. Patterns of nurse-physician communication and agreement on the plan of care. Qual Saf Health Care. 2010;19(3):195-9. doi:10.1136/qshc.2008.03022…
  17. psnet.ahrq.gov/issue/full-disclosure-adverse-events-patients-and-families-icu-wouldnt-you-want-know
    May 26, 2021 - Commentary Full disclosure of adverse events to patients and families in the ICU: wouldn't you want to know? Citation Text: Doucette E, Fazio S, LaSalle V, et al. Full disclosure of adverse events to patients and families in the ICU: wouldn't you want to know? Dynamics. 2010;21(3):16-9. …
  18. psnet.ahrq.gov/issue/reframing-and-addressing-horizontal-violence-workplace-quality-improvement-concern
    March 15, 2017 - Commentary Reframing and addressing horizontal violence as a workplace quality improvement concern. Citation Text: Taylor RA, Taylor SS. Reframing and addressing horizontal violence as a workplace quality improvement concern. Nurs Forum. 2018;53(4):459-465. doi:10.1111/nuf.12273. Copy …
  19. psnet.ahrq.gov/issue/medication-safety-operating-room-literature-and-expert-based-recommendations
    October 19, 2022 - Review Medication safety in the operating room: literature and expert-based recommendations. Citation Text: Wahr JA, Abernathy JH, Lazarra EH, et al. Medication safety in the operating room: literature and expert-based recommendations. Br J Anaesth. 2017;118(1):32-43. doi:10.1093/bja/aew…
  20. psnet.ahrq.gov/issue/care-transitions-and-home-health-care
    August 25, 2011 - Review Care transitions and home health care. Citation Text: Boling PA. Care transitions and home health care. Clin Geriatr Med. 2009;25(1):135-48, viii. doi:10.1016/j.cger.2008.11.005. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML En…